| Serenity Trauma Foundation | |
|
881 Alma Real Dr Ste 218 Pacific Palisades CA 90272-5039 | |
| (310) 310-9249 | |
| (310) 230-7440 |
| Full Name | Serenity Trauma Foundation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 881 Alma Real Dr Ste 218, Pacific Palisades, California |
| Authorized Official Name and Position | Karol Darsa Nechushtan (CO DIRECTOR) |
| Authorized Official Contact | 3103109249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Trauma Foundation 881 Alma Real Dr Ste 218 Pacific Palisades CA 90272-5039 Ph: (310) 310-9249 | Serenity Trauma Foundation 881 Alma Real Dr Ste 218 Pacific Palisades CA 90272-5039 Ph: (310) 310-9249 |
| NPI Number | 1639504467 |
|---|---|
| Provider Enumeration Date | 09/11/2013 |
| Last Update Date | 09/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639504467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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